| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,239 |
1,176 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
677 |
660 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
258 |
251 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
250 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
182 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
116 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
134 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
260 |
258 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
275 |
$3K |
| 99383 |
|
30 |
30 |
$3K |
| 99188 |
|
151 |
150 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$380.58 |
| 36416 |
|
44 |
43 |
$103.74 |
| 92551 |
|
15 |
15 |
$95.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$92.46 |
| 85018 |
|
13 |
12 |
$29.70 |
| 90651 |
|
70 |
68 |
$0.02 |
| 90686 |
|
130 |
130 |
$0.00 |
| 90647 |
|
66 |
65 |
$0.00 |
| 90680 |
|
39 |
38 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 99173 |
|
155 |
153 |
$0.00 |
| 90670 |
|
146 |
143 |
$0.00 |
| 90734 |
|
58 |
56 |
$0.00 |
| 90715 |
|
34 |
33 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| 90633 |
|
33 |
32 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |